Medication request

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Medication request

Please use this for acute medications that are not on your regular repeat prescription.

For your repeat medications you can order these by clicking here

Please consider whether you really need to complete an e-consultation. Some problems resolve on their own if given time, or can be treated by your local pharmacy. Responsible use of this service will allow us to continue to make it available to everyone.

Thank you for your consideration.

2. Please accept the following: *

I understand that my GP Surgery will only receive my consultation if I have completed it in full and have clicked "Finish" at the end.

3. Please confirm that you agree to our privacy and data sharing policy. *

I agree to my data being stored and shared as well as used for further communication in accordance with the privacy policy (see link at top of page).

4. To ensure you receive the right care, we work with clinicians across the NHS, including local pharmacies. This means that your econsultation may be reviewed by a local pharmacist working for a local pharmacy or by one of our own staff members who will call you to discuss further if needed. For more information, click here. Please accept the following. *

I confirm that I am happy for either a clinical pharmacist from a local pharmacy or a clinician from my GP Surgery to contact me regarding my econsultation.

5. All subsequent questions during the online consultation are directed at the person requiring the online consultation. You should only complete this consultation for: a) yourself, (b) for someone else where you have their permission to do so, (c) for someone else where you are permitted in law (for example, a parent or guardian, carer, someone with power of attorney). Please indicate who you are completing this online consultation for: *

Myself
A child under 18 (I have parental responsibility)
Another person (I am a carer)
Another person (with their permission or allowed in law)
Other (please specify):

1. Econsultation reason:

2. Please accept the following: *

3. Please confirm that you agree to our privacy and data sharing policy. *